NPI 1003295460
Kyra J Tracy, RDH
Practice location
- Address
- 608 S Missouri St., Waverly, MO 64096
- Phone
- (660) 493-2262
- Fax
- (660) 493-2796
- Mailing address
- 608 S. Missouri St., Waverly, MO 64096
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1003295460
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 May 2015
- Record last updated
- 19 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.